SIDNEY BERNARD EISIG DDS NPI 1710044904

NPI Information

NPI: 1710044904
Provider Name: SIDNEY BERNARD EISIG, DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Organization: TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK

PECOS Registration: Yes

Address:
630 W 168TH ST
SUITE VC7-226
NEW YORK, NY
ZIP 10032
Phone: (212) 305-4552
Get Directions

Sidney Bernard Eisig, DDS is an oral and maxillofacial surgery dentist in New York, NY with 44 years of experience. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Sidney Bernard Eisig, DDS NPI is 1710044904. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK UNIVERSITY COLLEGE OF DENTISTRY
Graduation Year:1980

The provider's business location address is:

630 W 168TH ST
SUITE VC7-226
NEW YORK, NY
ZIP 10032-725
Phone: (212) 305-4552
Fax: (212) 305-9649

The NPI 1710044904 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 1/3/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	036028	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GS361	OTHER	NEW YORK	OXFORD
2	2635591	OTHER	NEW YORK	AETNA HMO
3	4C1608	OTHER	NEW YORK	HEALTHNET PHS
4	0348187	OTHER	NEW YORK	CIGNA
5	4309559	OTHER	NEW YORK	AETNA PPO
6	1300099	OTHER	NEW YORK	GHI
7	45913P	OTHER	NEW YORK	HIP MEDICAID
8	00964356	MEDICAID	NEW YORK
9	D2F551	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
10	683721	OTHER	NEW YORK	UNITED HEALTHCARE
11	D48781	OTHER	NEW YORK	EMPIRE BCBS
12	036028N02	OTHER	NEW YORK	HIP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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